3562 Coachman Rd
BUILDING PERMIT
Receipt #
Nd
12850
To be used tor SF D[NG/GAR Est. value $64,000 Date -N«Vr.Ivif3i:F? 5 1986
SiteAddress 3562 COACHMA N Rl) Erect gt Occupancy R3
Lot 24 Block I Sec/Sub. HAMPT0I4 F:TS Remodel ? Zoning
Parcel No Repair ? Type of CortsL
. Addition ? No. Stories
? Name r'RONTIFR MIDWEST HOME'' Move ? Length
= 39 0 S S I BLEY MENI HWY f H"LaJG E Demolish ? Depth
o Address
45
?GAN Int Impr.
9-0933 ? Sq. Ft.
City
Phone Install ?
Fees
I hereby acknowledge that I hav
information is correct and agre
Mrnnesota Statutes and City of
Signature of
A Building Permit is issued to:
all work shall be done in accc
Building Official-
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Assessment
Water 8 Sew.
Police
Fire
Eng.
- Planner
? Council
1e BIdg.Off. 9715 86
Var.
Permit 4'' - "V
Surcharge 32.00
Plan Review 162.50
s,ac 5 5.00
Water Conn. 500.00
Water Meter? ' 50
Road Unit 290.00
Tr. PI. 156.00,
i
Parks
Copies . 0 0
T.,r. i ?
on the express condition that
WrmN No. Permit Holder Datis Tslaphone #
Plwnbing fj ? ? c?
H.V.A_C.
Eteetrk i 7/?'
Soltsner
Inspectlon Date Inap. Commenb
Footingi I
Footinys II
Foundatbn
Framing
Roofing
Rough Plbp. 1--7 g7 olJ.K. A "G
Rouyh Hty. ?
Insul.
Finploee
Final Htq. ?s 7 ?l'J
Final Plbg. '
Bldy. Final
Csrt. Occ. /a LOQp •
Dack Ftg.
Oeck Frmg.
Well
Pr. Dkp.
Y. 7a,77S, 7
. . PERMIT #
. MECHANICAL PERMIT RECEIPT #L? y? S
CIT1f OF EAGAN
3830 PILOT KNOB ROAa, EAGAN, MN 55121 DATE 11-; :??I34
Site AddrQ"
_«
Lot
y Name _
?o Address
c City _
? Name _
c Address
O CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
80,000 M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL•
$26. 0(11
BLDG. TYPE WORK DESCRIPTION
.._>:_ . .;
Res. New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR CONq. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1,50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - CaMM/IND FEE - 20.00
5TATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C iF PERMIT PRICE GOES
BEYOND $1,000.00)
51GNATURE OF PERMITTEE
FOR: CITY OF EAGAN
INSPEC
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
.;htir ('t)Al'.hIMAN R[1
I!/??.11? } ii?ti i?! ? i,l? f
PERMIT SUBTYPE:
TION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
l.?, 'It
?;?r?i i?i??.
?fN/ SNJ`?q
ni I E I: A i iIirr
i I, nMI "1. ;P AIi /k i iflr,
rillr.ll 1 ta ; I; 1, ; r7l11
i
I . I, ;H r,
1 1'AF'Alf: I'I V4141 f'. 141tf f+! 011 II11[ 1t 1-014 AN`i I'tI1M1; INii l?h I' I f+ IFr#i Hl I41I1;F
? APPLICANT:
TYPE OF WORK:
Permit No. Permk Holder Date Telephone #
S/W
PLUMBING 9
HVAC
ELECT
ELECTRIC
•
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing -- p ??
,g,P,g.
Rough Htg.
?v
Isul.
Freplace
Finel Hlg.
Orsat Test
Final Plbg. ? Q
/ Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final
[
Deck Ftg.
Deck Final
Well
Pc Disp.
- 1 - --- - - --
A.
CITY OF EAGAN WATER SERVICE PERMIT
3830 Plbt Knob Rcad 8184
P.O. Qox 211g9 PERMIT NO.:
Eagan, MN 55R1 DATE:
Zoning: on er wes No. of Units:
Owner.
Addreas:
Site Addess: `
Charge:
9slt: ?
'
I syre* !o comply wtih e
Ordinan
7 lJ II?C
Total: ? . p me e
By ? Date Paid:
Date o1 Insp.: Insp.•
3EWER SERVlCE PERMIT
PERMIT NO.:
DATE:
No. of Units: '
Address: --bZ t?nschmar, P,usd 1.24 ?L Raiapto^ F?eL;•h: t:s
h a.p1y wk6 eb Cily oi f.fe.
By
Dat* of Irup.:
CorxwcHan Chorpr.
ACOOwK Depowf: _
P*m+M FN:
Sunfwrpe:
Misc. Charpss: -
Totol:
Do» Poid:
?
+ CIAIM YOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO : bOLLY STENGER
ADDRESS : 3562 COACHMAN ROAD
seesaaszsszs$a:??a c?s=s:?asss=ass?sz=:a?sssassss?ss?sssss:asas::ssass?:
LOCATIdN 3562 COACtIIMAN ROAD
L24, Bl. HAMPTON HEIGHTS
RECEIPT # / DATE 312 ] 0/8-30-44
REASON FOR REFUND H0MEOWNEB HIRED ElECTRICIAN TO DO WIRING
TYPE OF REFUND ELECTRICAL PERMIT40N64690
PLUMBING PERMIT
MECHANICAL PERMIT
SURCHARGE
WATER CONNECTION PERMIT
SEWIER CONNECTION PERMIT
ACCOUNT DEPOSIT
UTIUTYACCT OVER-PAYMENT
CURB BOX DEPOSIT REFUND
CONSTRUCTION METER DEP REFUND
WATER USAGE CHARGE
OTHER:
3211-9001 $ 40.00
3212-9001 $
9213-90Q1 $
2155-9001 $
9713-9220 $
s7as-s22o $
22s2-s22o $
22so-s22o $
2253-9220 Z
2zsa-s22o $
9711-9220 $
s
s
s
TOTAL $ 40.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
e::2- ,, ?e- -
_reurlaRV 301 1445
St : ! Oata
?
_._- _-__ - - - --• -- - ---- t-•----..?..
CASH RECE-IPT ?
CITY OF EAGAN
3830 PILOT KNO6 ROAD
EAGAN, MINNESOTA 55122
DATE ? 19
RECfiI V ff0
FRpM 1
AMOUNT ? I
4 OOLLARf
,oo
? CASN El CHECK
;
FOR
68 11 "-: BY-
BLDG. PERMIT :v0.
01-3210 g.'ermir `" . 01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155
17-3860
ZQ-2275
20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
11-3855
Surcharge
Road Unit
SAC
WateT Conn
Water Trmt
Water Mete.
Acct. Dep.
Water Perm;
Sewer Permi
Sewer Conn.
Park Ded.
TOTAL
Copy
9 coPY
?
?
--?
?- s
r
e
Thank You
,.
_„ .,. , ? . . • .
PLALc ii:
L i ru E4 L FT, EXposEpWAL L
aLOC ft ; G S I
iC.u F, E? vm sc dm ? 3 0
\Nl0-<,<
?:U L L(? t 30 ?? ? t 3 b
. ... ; ? ?- .
TZ t M = ? ? f '301
SkPo5Eb W L .
A L ArPEA
S Lac. Q S X ,S = 3Z•5
,
.
30 3C.
..
1::uLL X 8 = 1101
'7
F. P 42?
,
,
??M : ?
? ??
x
1 ?
t 30
?: .
5?..?t .
? WD W5
2 413? ?C? : Ca ?
7 OW
EXP05 LD GEI L(Uq jof Co
4 ..
? ?A-rlo Zk.S
,
tZS
-r-a-rA L
?3SM4 u1Ji+- ?
. - .,..
144ti
1994
?. „.
_?.
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si e surveys, 1 copy f energy
calcs. f+L?; 1 5 tc;,,,
COMMERCIAL f
2 sets of architectural & struct .? ?et
_
specifications, 1 copy of energy
Iena 1 ty applies: 1) when permit is' typed, but not picked up by last working day of month
[
in which request is made, 2) addre
ss is changed or 3) lot change is requested once permit
„
is issued.
Date _Z_ / o?( / Valuation of work
Site Address: 35(°'Z ?Of?LNl?rffN {?Of?i?
STREET SUfTE #
Tenant Name: (commercial only)
LOT 7? BLOCK ? SUBD. P.I.D. #
Descri tion of work: hAVI
The applicant is: J? Owner li-I Contractor ? Other (Describe)
Name 57E/V6-1?, ' Aloa(_l Phone (IaXY' ?3.5`/
Property LASS FIRST f
Owner 35-62-
qddress
STREET STE #
City State le?L A-1 Zip
Company Phone
Co ntractor Address License q Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days on'ce area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. '
Signature of Applicant:
CITY OF EAGAN
BUILDING PERMIT APPLICATION
681-4675
/2 1 `?0 45?'AFFaI<-t)
VERBLE 1986 HQILDING PER!!IT APPLICATIOB - CITY OF B9GAN ?
NOYB: ALL CAA?R9G?ORS M[JSR BS LIC@iSSD IiITB THE CITY OF EAG9N
SI9GLS F9MIILY DiIELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYt 1 SET OF ENERGY CALCULATIONS
MULTIPLS DWSLLINGS - RFSIDENTIAL EE.'NTAL iTdITS FOR SALS ONITS
INCLUDE 2 SETS OF PLANSp CERTIFICATE OF SORVEY - CHBC[ NITH HLDG. DEPT.*
1 SET OF ENERGY CALCULATIONS
COl4ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Single Family
& STRUCTURAL PLANS,
SET OF
?
<0 C!/T?/ ?
Valuation•
Site Address 3562 Coachman Rd.
LOt 24 Block 1
Pareel/Sub HAMPTON HEIGHTS
Owner Verble, Randy & Valerie
Address 1730 Flamingo Drive
City/23p'Code Eagan, MN. 55122
Phone 452-4944
Contractor FRONTIER MIDWEST HOMES
Address 3908 Sibley Mem. Hwy. B1dQ E
City/Zip Code Eagan, MN 55122
Phone 454-0433 _
Mch./Engr.
Address
City/Zip Code
Phone 11
Date: 9-5-86
OFFICE DSS OPLY
Erect ? Occupancy ?
Remodel Zoning
Repair _ Type of Const
Addition S of Stories
Move Length
-
Demolish
Depth ?
Int.Impr. _ Sq Ft
Install _
APPSOV9LS FE&S
Assessments Permit
Water/Sewer Surcharge "
Police Plan Review )
Fire SAC
Engr Water Conn
Planner Water Meter .'S'b
Couneil Road Unit
Bldg Off ,!S•8o Treatment P 1 ?
APC Parks
Variance Copies
TOTAL ?
, aOTE: ADDEESSSS EOR CORNEB LOTS - CONTRACTOR/HOMEOiiNER MIIST DfiSZGNATESiHICH ADDRESS
IS DESIRED. NO CHANGffi WILL HE ALLOiiED ONCE BUILDING PERMIT IS ISSUED.
.
OP
BUILDING PERMIT
CITY OF EAGAN 1?1 p
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1V ?
PHONE: 454-8100 ? (/ ?
Receipt k
7obeusedlor SF DWG/GAR Est.Value $64,000 Date NOVEMBER 5 ?y86
SrteAddress 3562 COACHMAN RD Erect Occupancy R3
Lot 24 Block 1 Sec/Sub. HAMPTON HTS Remodel ? Zoning
Parcel No Repair ? Type ot Const.
. Addition ? No. Stories
? Name FRONTIER MIDWEST HOMES tsove ? Length
3 Address 3908 SIBLEY MEM HWY, BLDG E Demolish
I ?
? oepth
S
o
city EAGAN phone 454-0433 nt. Impr.
lnstall
? q. Ft.
Z. ? Name SAME
oi Atldress
a
? City Phone
?Q
? w Name
_z
? Address
i wz
Cily Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of ??99 an Or?7',n?n-nce?s/
Signature of Permittee Ln?i?iNV A?e_'
Assessment _
Water & Sew.
Police -
Fire
Planner
Council
6
Bldg. Off. 9/15/8
Var. Date
12850
Fees
Permit $ 325.00
Surcharge 32.00
Plan Review 162.50
SAC 575.00
Water Conn. 500.00
WaterMeter 63.50
Road Unit 290.00
rr. PI. 156.00
Copies
I T.,.s1 $2,104.00
A Building Permit is issued to: FRONTIER MIDWEST HOMES on the express condition that
all work shall be done in accordance with all applica6l te Minnesota Stat s agan Ordinances.
Building Official
RESIDENTIAL
BUILDING PERMIT APPLICATION
`???(::e 3830 PILOT K OB RDEACaAN MN 55122 `J a-0 O.??
651-681-4675
New ConmucGon Heoulramena
• 3 regASteretl sile surveys shaxing sq. M. oi bt, sq. tt. ot house; arW ? rooted ereas
(20°/a maxYnum lot coverage allawed)
. 2 copies of plan showing beam 8 window sizes; poured found desgn, e4 )
• 1 set of Energy Cakulations
. 3 coples ol Tree Preservatbn Plan il lot platted efler 7/1/93
• Rim Joist Delail Options 5eledion slieet (Cltlgs wMh 3 or less unMS)
DATE '4-,??Q-02-
SITE ADC
TYPE OF
APPLICANT
STREET ADDRESS
TELEPHONE # l0S1--i3U-9q33CELL PHONE #
k'b-1
AULTI-FAMILYBLDG _Y 4C.N
FIREPLACE(S) X 0 _ 1 _ 2
A3 STATE m?ZIP `^ I
fAX # l aci l- 4!E555 r 5219
PROPERTYOWNER?o?cl- -ii- TELEPHONE# 1o& 1-90.5-4039'
COMPLETE THIS SECTION FOR ^NEW^ RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Coda Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery System
Fee: $90.00
I hereby acknowledge That I have read this application, state mat ihe information is correct, and agree to comply
with all applicable State of Minnesota Staiutes and City of Eagan Ordinances. ?
SignatureofAppl
OFFICE USE ONLY
CaAas
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
RemotleVReoalr Begulremente a-
. 2 copies M plan
• iselotEnergyCakulationslorheatedadd'rtbns
. 1 sne survey for eAador additions & decks
• Intlicete rf home servetl by sephc system far atlditions
VALUATION % 1 u`J?J?o' O-C)
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4I02
&5gg(p
2004 RESIDENTIAL BUILDING PERMIT APPLICATION ?
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructbn Reauirements RemodeUReoair ReauiremenLs
3 registered site surveys showing sq. R of IoL sq. ft. of house; and all roofed areas 2 coples o( plan
(20% maximum lot coverage albwed) 1 sef of Energy CaIwlaOons for heated addNOns
2 copies of plan showing 6eam 8 window skes; poured found design, etc. 7 sde survey for addi6ons 8 dedcs
7 set ot Energy Calculalions Add'dPon - indicafe Non-site sepfk system
3 copies of Tree Preservation Plan iF lot platted after 7/1193
Rim Joist Detail Opibns selection sheet (bldgs wflh 3 or less unifs
99-a5
o?ce us? o?d
CertofSittv"e"y?2ee#: _?1+J
Sree'Fres P.lari ReW?; Y'-'_'N
=Y
;EreePres W::y .-? N
pri';sil'eS`eptic
4?vop
Date _9 / 1 F> / 6'?_
Site Address ?7i C.C,Y-C {'1 Y Constr/uctioo Cost ? 91 ? 6? '
VIOL/'1 ;?f1/i !S UniUSte #
Description of Work ?tw-o"f -1 I '\e wSCll gPaQce Z e??h -Doof S
Multi-Family Bidg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner Telephone #(teIZ ) p I Z? 1,; 2-7
Contractor :1Y`h
Address
State
Zip ?? City EY 1c(ICV
r!
Telephone #(10) `'J-W r7 b 00
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 -
Residential Venfilation Category 1 Worksheet
(4 submission rype) Submitted
• Energy Envelope Calculatlons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber l %\\\\\ Telephone #(
Mechanical Contractor \ U ? Telephone #(
Sewer/Water Contractor Telephone #(
N If so, 25% plan review
r - °-
I hereby apply for a Residential Bui'duig Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an applicatio for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved pli in the c5s9f work which requires a review and
approval of plans.
A NEW BUILDING
Minnesota Rules 7672
• New Energy Cade Worksheet
Submitted
?7o `v? n P eders 0
ApplicanYs Printed Name
(,lob?2
2004 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION
Q City Of Eagan
3830 Pilot ICuob Road, Eagan MN 55122
? Telephone # 651-675-5675
.?.
Please complete for: single family dwellings & townhomes/condos when pemvts aze required for each unit
30 ?'
CY?
Dafe
Site Address -,-I)C?Q n--O-n R'CLd-- Uuit #
Property Owner Telephone #
Contractor ' t;ontrouea Evr - - - -
i Heating & Au Conditioning
Street Address i Ventilation and Fireplaces City
21210 Eaton Ave. Farmington NAN, 55024
State 651-460-6022 Fax 651-460-6276 Telephone # ( )
www.controlledair.net '
? - -- -^--^
J
Bond #• --
Expires:
The Applicant is _ Owner ? Conhactor _ Ot6er
Add-on or aiteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
air conditioner New Replacement
? other ?-fli? ?l n U
I
L l
State Surcharge $ .50
p'?? $ ?• ?
Total
0?
I hereby apply for a Residential Mech ical Pemilt and acknowledge that the informarion is complete and accurate; that the work will
be in confocmance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a perxnit, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. ,
C,l t V e-/ L` -
ApplicanYs Printed Name App icanYs Signature
s 07qy
2004 RESIDENTIAL MECHANICAL PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & rownhomes/condos when permits are required for each unit
/ O 1
(s /
?
D
t
-
_
a
e
Site Address 7?j ?.p o1 C pCIC-V-Vrf? Unit #
O
r
P Telephone #(?a IS a?7
wue
roperry
Contractor
Wohlers Southside Htg r, Inc. '
Street Address ? 6950 W. 146U' St., #16 City
Apple Valley, MN 55124
State (952) 431-7099 Telephone # ( )
' - - - J
Bond p cjYL{ 7 Gl a? - Expires:
0
L
X
Icontractor _
The AppGcant is _ Owner Other
Add-?°n or alteration to existing dwelling unit $ 30.00
m
nt
l
Additi
?1 ?
f
l tR
ep
ace
e
ona
-
urnace e _
air exchanger
airconditioner _New _Replacement
other
stateSurchar D D $ .so
AUG 0 9 2004
Total By $
I hereby apply for a Residenrial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City oF Eagan and with the Mechanical Codes; that I understand this is not a
pemtit, but only an application for a pecuut, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work wluch requires a review and approval of plans. ,
L)cj?-P', !
Applicant's Printed Name AppiicanYs Signature
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
S. CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date"?l! /11?
/
V
Site Street Address e
a Unit #
PropertyOwner C2? G S Telephone# K/oZ}-SZ&eL-?=:Cg?7
OY h yhc
Contractor 7e?lephone # ( )
Address G ` City State&.L Zip
The Appiicant is: _ Owner ? Contrac or _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
? Water Softener ? Water Heater $ 15.00
replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _ rebuild $ 30.00
I
State Surcharge
$ .50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved pian in
the event a plan is re uired to be reviewed and approv/
? ??'
?
Ap IicanYs Printed Name ApplicanYs Signat
?I AUG 0 3 [004 ?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
? SHOWER 3.00
? WATER CLOSET x
BATH TUB
LAVATORY
? 3.00 -
3.00
3.00
KITCHEN SINK 3:00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER , 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum • 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRNATE DISP. • Dak.Qy. lic. 20.00
U.G. SPRINKLER -nome unaer con:i. 3.00
ALTERATIONS ' lo existing
WATER TL3RN AROUND 20.00
20.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: -l /t' 4 N ;;:) D
OWNER N
0
INSTALLER:
ADDRESS: ..?5 (? 2 ?dG? li???t/1?A7? ,?r?
CITY: G? 4_2L-1 STATE: 1,4 /-1 ZIP CODE: ST/ ZZ
PHONE #:
1994 PLUMBING PERMIT (RESIDENTIAL-)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
_ „ rage 1 of 4
. • ', • , EXTCR[OR [NVELOPC AVCRAG!' °11" COMI'lIT/1(ION
- i ouneR: DnTr
%' - -----
SITE ADDRESS: PtiONC:
CONTRACTOR:_ FFd*J-n-r.
1
2
Determine working square faetage cf each
Total exposed wall area..... (!164. S sq. ft. x.1; _
Total roof/cei7iny area..... 101?6 ;a, ft, x,G26 =
Total exposed wall area above flnor=
a.
b.
c.
d.
e.
f.
h.
i.
.1.
R
1
l
1
Total wall window area ..................................... ......
Total door area ..................
Total ..........................
sliding glass iloor arca ......................
......
a Z
Total .....
...
f9repiace wall area ....................
...... ?
......
ToCal ........
wall framing area (average 10%) ...................... ......
...
S
Total rim joist area .............. . ?
net .. ...........
• .....
wall area above floor...
......
.. .
.
wall area above floor ........................
. . . . . .
.
......
wall area a6ove ftoor...........
......
......
frame .....
.........
wa11 area at foundation ...... ..
....
..............
Total exoosed foundation area= (f:,5
Total foundation window arez .......................
Total net foundation area above 9rade .............. _
Detcrmine "u" value of each woil scy,nenq
(e,g. windovr, door, each separate Viail seccion)
a•_ I ZS J(
h . `-f 7_ X
C. ?Z- X
. d. ?8 a
?
X
• f. ? -2O X
? e. I 3? I rO??27 x
n.
t.
.J •
k.
4 S --- (::5
,
„?„ , 5 CO = I ?
0 3 = 1`r . 4
X lu„ _
X 11 U., _
X V.
_
X "U"
• 1 . ?p S X l u???L ?5 =
3 . .............................. ...rotal = 8
If item #3 is the sa
as, or less than ite
01, you have meE.tfii
inCent of SBC..600 ?
:4:???? ?;;
., r
? 112?037 ?
a
Ra???pppu st Dat? Rre No Rou In Inspecbon eqmretl In ection O[herTnan RaugM1-In
(VO mus ca4 irtspectof when readyi ? Rsady Now C] Will Notdy Inspec[or
??
Yas ? No Date Reatl
I licensed contracror ? owner herehy request inspection of a6ove electrical work at
dotl Atltlrass (5[reel 6ox or Fouie No ) City
Secbon No Township Name cr No Range N.
Coun??,
?
Occu nl(PFWT) Pho e No
?o?nn ST????
P wer Suppl„ Atldress
?--
ier f?yC4?^?
l
Elec cal Con[ractar ?Comp ny Nam )
?d?. ?ta-+ . Conlractor's'?cenee No
?? ?,o3Z
Maili tld?or or Owne? Making Instellaiion)
W SSI'?- a66
Aulhonze naWra onhactou0wner Mg InstallaLOn) Pno Number ?
MI SOTA STHTE RO F CT? ITV IIIII IIIII IIIII ?IIII IIIII IIII IIIII (II?I IIIII IIIII
gs-Mitlway 8 - Room $-128
0
021 Unlversi ve., 51. Paul, Mp'$5104
Phon¢ (614) 62-0900 II
v-t ra -0.3
THIS MSPECTION REt7flEST 4VIL6 NOT
BE ACGEPTED BY THE STATE 80ARD
?NlESS PqOPER INSPECTION FEE IS
ENCLOSEO
1 REQUEST FOR ELECTRICAL INSPECTION
. See instrudions tox oompleling tlns lorm on beck oi yellow cooy
"X" Below Work Covered by This Request
Az N EB-OODo
Ne Add , p. Type ot Budding Appl>G1Ces Wrced Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt 8uilding Dryer Load Management
Comm./Intlustnal Fumace Other (Specii )
Farm Air Conditioner
Othei(spenty) Go cOPSRemarks?
?/7?? r` J ?ZS
e Below: ?i
&u t
tion F
1
I
ie(
,( ,
nspec
e
,
..
Compure
# Other Fee # Serwce Entrance Size ee # CvcuitslPeeders Fee
Swimming Pool 0 to 200 Amps 0 to 10D Amps
Transformers Aaove 200-Amps Above 100 _Amps
Signs Inspectors Use On1y. TOT L
qLg'a0
IrrigationBooms •
Special Inspection
Alarm/Communlcation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHI 1 MO T S-
I, the Electrical Inspector, here6y Roughin Date
r
certify ihat the above mspec4on has
t oate
been made le
I
u?
OFFICE I1SE ONLY
This request void 18 montlls from
L i
y',`'?Fc,?`{:rior Envelopa Avc:agc "U" CanpuCat:ion
Pngn 2 oF A ;
Tot-al ex1;osed roo[/ceiling nrca Of b
m. Tbtul skyli.ght area . . . , . ' ..
n. Total roaL-/ccilin2 framing arca (lvcragc lO%)... ? O
a. Total net insulated roof/ceiling urea...........
. Determine "U" valuc for each roof/cciling segment
M. - X "U"
n. 1 O f• Co x -,U"
o. -ILIJ, _X „ul, ?O ? at Z.
4 ........................... Zbtal = 75
If tota.l of ;,4 is the same as, or less i:han 112, you have mel' the int•ent oP
SbC 6006 (c) 1.
Altern3te Buildinq finve].one Desiqn
ib utilize the total envelope'system method, the values estzblished by tiie s:un of
items i;3 and i;9 shall not be 9reater than the sum of items $1 and ;{2,
1. 21 co 1 09 + z. _ Z? .4i = 4Z
3._j?&7, (b`? + 9. Zv, 7 3 - Cn ,
^?? [m>NECTION REQUEST WIIL NOT
GI-998-Midwey Bldg• - Room N-781 BE ACCEPTED BY THE STATE BOARD
7821 Universiry Ava., St. Peul, MN 55104 l1NlES5 PROPEN INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSEp,
i ,
REQUEST FOR ELEC7RtCAL INSPECTION
/ See instruchons for completin thie lEg?00001-05 klft 9 ?? 6 orm on peck o1 yellow ropy.
'"N" Below Work Covered by This Request
- .,t Heu' rvae ol BuIle B AFYl
Home R???e Evu??me?i w11a7 ix
k M,I
Fee ServmeEnbenca5ize
I ? t 200 qmPs n F d 1 n I c
to
m
18
to
TOTAI
I, the E i
?P ??specioq ereby
cerUfy thet the abo,
msaectlon hes Caen
This request void
18 monffis (rom
? Owne, I hereby raquest mspaction ot above
CITY OF EAGAN
APPLICATION FaR PERMIT
SEWER AIVD/QR WATER CONNECTION
______
!dOTE: PATKETTf OF FEE AT TIlE OF
APPLIcATIorr noFS Nar oorsrrT[rTE
a2PxovAL OF PERrmr.
INSPECTIorr OF sEWEt arro/Ct WkMM
ruarnr.raTrONS WII,L IQ7P gE SQHED--
OLED UNPIL PERMffT HAS BF.E1Q
APPROVID. .
P ease rint
` 1) PROPERTY ADDRESS: 3567 (,narhman unacl Favan_ MN S 5791
LEGAL DESCRIPTION: Lot 24 Block 1 Ham ton Hei ths L o t Hloc Sub ivision or Tax Parce ID )
IF E7QSTING ST12L'CiURE. DATE OF ORIGINAL B[IIIJJING PERMIT ISSCANCE: '
? (hbn Year} ..
PRFSETTr ZONING/PROPOSFD L'SE:
C] COAPERCIAL/f2ErAIL/OFFICE
Q IPIDC'STRIAL
INSTIZUTIONAL/GOVERIZ=
? R-1 SINGLE FAMILY
O A-2 DC'PLEX ( i?o Onits )
? R-3 ZOWl+ffIOL?SE (Three + Uni.ts )( t?nits )
? R-4 APAR'IHi:N'P/COAIDCIMINIUM ( Units)
2) NF1ME: FRONTIER MIDWEST HOMES CORPORATION
• ? ADDRFSS: 3908 Sibley Memorial Highway Bldg. E
CITY, STATE, ZIP: Eagan, MN. 55122 '
. PHONE: 454-0433
• 3) ? i: ?,• For G.ty Use .
NANE: STAR PLUMBING Plumber5 License:
ADDRESS: 1018 Mound Springs Terrace Act1ve
? CZTY, STATE, 2IP: Bloomington', MN. 55420 ??ded ?
PHONE: 884-4144 MASTER LICENSgg 3329
4) •a• • •
NAME: Verble, Randy & Valerie
_ ADDRFSS: 1730 Flamingo Drive CITY• STATEr ZIp= Eagan, MN. 55122
PHONE: 452-4944 •
_ y
.5? ?:? r. • r. .?. :B • ? ?1 - . . _... .._
Q COAIINEC'rION T0 CI'TY SEVm ZM COPS7FX..TION SO CITY VATER Cl OiPHER
' 6) i? • •• ? PLEASE FIOLD APPRdVFD PEMT EY)R PICK-UP SY ONE OF ABOVE ---- .- :'__
Q PLEASE MAIL APPROVID PERMIT TO 1, 2, 3, 4, ABOVE
• (Circle one) j
7) r, r. u• . ?
.-.. _. ,
FOR CITY USE ONLY
PERMIT # ISSUED
? 11 l
Pd w/Bldg. Permit FEES:
$ /D • $ SEWER PERMIT (INCLIIDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OPTSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
S S ?o C> o $ wAc
S c, ?J er-b $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRDNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ - $ TOTAL
_-3
RECEIPT -
RECE
IPT
DOES UTILITY CONNEC TION REQUIRE EXCA VATION IN POBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC
ROADWAY" MUST BE ISS[JED BY THE ENGZNEERING
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE: . DATE : 777
LEagan.
30
?
hGALE; ?":4p OC?
VEYINO
AVICE?
ey Memorfal Highway
Minnesota 55122 : (61
2) 452•3077
i .
a, N?a
r
J {? ;
?
M
HomeR??Aificate.FOr:
.. LANO OEVELOPENB . .
REAItORS - -
? COMPANIES
SrAFFORD
! !iT L9
Sbz 0
i ?
,ow
x9vp,0
WAYtJE D.
COf1DES
- 14Sd5 -
-LEGEND"
O Lenotes Iron Yae.menf
0 Denotes Woai Hub Sef
x 811,() Denotes Existirg Spof Elevation
(n yN??'w) tknotes Proposed Spnt EJevation
',?Denotes Drainnge Direcfian
-PROPER7Y DESCRIPfICN-
LOT2 4. , &GY'K I
NWPTaN NEiGMTy
accordirg to ths recarded plat thereof,
DAKOfA Camty, Mimesota
Q?
PROPOSED 6ARA6E FLOOR ELEVATION= 873.0
PROPOSED Top of 81ock ELEVATION? 7•3
PROPOSfD BASEYENT FLOOR ELEVATION -MO• W'p
N?pTE. Verify aIl floor heights with Firol House Plaru.
LOA,,,c?b • `-?Z-Oste: ql9l$160
_4invM CERfIFIC,4fIpV-
1 hereby certify tlat this survey. Plen a' reP°rt
was prepered by me a" vder mY direct supervisiai
ard tF+at ! am a duly Registercd Lerd SurveYa'
uid fihe laws of the Sfste of Yirnesota.
Wayne D. Cmdes. Mim. Reg. Na 14575
PERMIT L?
? CITY OF.EAGAN -3 ? ?-? ?
3830 Pilot Knob Road PERMIT TYPE: Bu=LoING
Eagan, Minnesota 55123 Permit Number: 0 2 4 4 61
(612) 681-4675 Date Issued: 0 8/ 3 0/ 9 4
SITE ADDRESS:
3562 COACHMAN RD
LOT: 24 BLOCK: 1
HAMPTON NEIGHTS
P.I.N.: 10-31900-240-01
DESCRIPTION:
BuiLding-Permit Type
Building Wrnrk Type
.,\
?
i
/ - ?
y
BASEMENT FINISH
ALTERATION
REMARKS:
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00 COPY $.50
Surcharge $.50 Total Fee $36.00
Subtotal $35.50
CONTRACTOR:
OWNER: - Applicant -
STENGER MOLIY
3562 CQACWMAN RD
EA6AN MN 55122
(612)688-3359
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comp2y with all applicable State of Mn.
Statutes and City of Eagan Ordinances. J
?????. ?.?-U ?-?-L-? `?r41n oAr? I
?l APPLIC /PERMITEE SI ATURE ISSUED B IG TU E
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: 24 BLOCK: 1 APPLICANT:
3562 COACHMAN RD STENGER
HAMP70N HEIGHTS (612) 688-3359
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH
BUILDIN6
024461
@8/30/94
MOLLY
ALTERATION
.. . .A
INSPECTION
FRAMING INSULATION
ROUGH IN PLBG FINAL
?
REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAI WORK
'F
' L--